Shipping address (please type or print clearly) SHIP TO: Home Work _________________________________________________ Coding Basics Book Order Form Name _________________________________________________ Four easy ways to order Title ONLINE: ahimastore.org (credit card orders) Organization _________________________________________________ Street Address (no PO boxes) _________________________________________________ City State MAIL: Send this form with check, PO, or credit card information to: Zip Code AHIMA Dept. 77-97105 Chicago, IL 60678-7105 _________________________________________________ Phone Fax ____________________________ AHIMA Member? No Yes Member ID #: ________ Email Address: PRODUCT NUMBER REQUIRED AND OPTIONAL BOOKS from AHIMA FAX: 312-233-1500 (credit card orders) PHONE: 800-335-5535 (credit card orders) HOW MANY REGULAR PRICE MEMBER PRICE AB103409 Introduction to Computer Systems for HIT $69.95 $54.95 AC200512 Basic ICD-10-CM/PCS Coding, 2013 edition $99.95 $79.95 AC221013 ICD-10-CM Code Book, 2014 Draft $110.00 $89.95 AC200613 Basic Current Procedural Terminology/HCPCS Coding $79.95 $64.95 AC210610 Basic CPT/HCPCS Coding Exercises $39.95 $34.95 AC201514 Clinical Coding Workout, 2013 Edition, with answer key $99.95 $79.95 AB202010 Principles of Healthcare Reimbursement, Third Edition $89.95 $74.95 AB105211 OPTIONAL: Pocket Glossary of HIM and Technology, Third Edition $24.95 $19.95 PRODUCT NUMBER REQUIRED AND OPTIONAL BOOKS from Other Publishers HOW MANY PRICE VC205113 CPT 2013 Standard Edition, softbound $84.95 CB502112 Mastering Healthcare Terminology, 4th ed. $71.95 CB511210 Understanding Health Insurance $146.95 CB601010 Pathophysiology for the Health Professions, 4e $85.95 CB602011 Introduction to Pharmacology, 12 edition CB511311 OPTIONAL: Dorland’s Illus. Medical Dictionary, 32 Ed. CB504211 OPTIONAL: Merck Manual, 19 edition th nd $52.95 th Money order enclosed $79.95 Subtotal P.O. Enclosed Sales tax (IL residents add 8.75%, MI residents add 6.00%) P.O.# ________________ Shipping and Handling (see chart on next page for current rates) ______________________________________________ ________________ SPECIAL shipping (call for quote) Charge: Visa MasterCard Credit Card Number AmEx Exp. Date ____________________________ __________________________________ Print Name as It Appears on Card TOTAL AMOUNT $54.95 PAYMENT MUST ACCOMPANY EVERY ORDER Check enclosed TOTAL AMOUNT Signature Prices and availability subject to change without notice. TOTAL Coding Basics Textbook Order Form 1/13/2014 SHIPPING AND HANDLING CHARGES Order Amount 48 contiguous US states Standard Shipping and Handling HI, AK, Canada, PR add $20 to standard shipping International Shipping add $45 to standard shipping $49.99 or less $50.00-$74.99 $75.00-$99.99 $100.00-$149.99 $150.00-$199.99 $200.00--249.99 $ 6.95 $ 8.95 $ 9.95 $ 12.95 $ 14.95 $ 20.00 7% of order subtotal $ 26.95 $ 28.95 $ 29.95 $ 32.95 $ 34.95 $ 40.00 $20.00 plus 7% of order subtotal $ 51.95 $ 53.95 $ 54.95 $ 57.95 $ 59.95 $ 65.00 $45.00 plus 7% of order subtotal $250.00 + Prices and availability subject to change without notice. Coding Basics Textbook Order Form 1/13/2014
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